Aortoiliac occlusive disease

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Aortoiliac occlusive disease Classification and external resources
Plate from Gray's Anatomy showing the abdominal aorta and the iliac arteries.
ICD-9	444.0
DiseasesDB	29335
eMedicine	med/2759
MeSH	D007925

In medicine, aortoiliac occlusive disease, also known as Leriche's syndrome and Leriche syndrome, is atherosclerotic occlusive disease involving the abdominal aorta and/or both of the iliac arteries.

Contents 1 Symptoms 2 Treatment 3 Discovery 4 References 5 See also 6 External links

[edit] Symptoms

Classically, it is described in male patients as a triad of symptoms consisting of:

1. absent or diminished femoral pulses,
2. intermittent claudication (pain with walking) and
3. penile impotence.

This combination is known as Leriche syndrome.[1] However, any number of symptoms may present, depending on the distribution and severity of the disease. Variable, chronic ischemia involving the lower limbs is a common presentation.[2]

[edit] Treatment

• Aortoiliac bypass graft
• Axillofemoral^[1][2] and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem")

[edit] Discovery

The condition was first described by Robert Graham in 1814, but the condition with its triad of symptoms was ascribed to René Leriche.^[3] Leriche, a French surgeon, linked the pathophysiology with the anatomy of the condition. Leriche first published on the subject based on a patient he treated with the condition at the age of 30. Following treatment the 30 year old was able to walk without pain and maintain an erection.^{[citation needed]}

[edit] References

[edit] See also

• Claudication

[edit] External links

• Aortoiliac occlusive disease vascularweb.org
• Leriche's syndrome - whonamedit.com
• Coronal CT of Leriche' syndrome - learningradiology.com

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